Christmas, Miranda

Christmas, Miranda is an sole proprietor health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Christmas, Miranda can be contacted via phone (262) 497-9446.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Phone: (262) 497-9446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 3943 Wisconsin

Profile Details

NPI number 1730435041
LBN Legal business name Christmas, Miranda
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2012
Last updated Jul 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730435041 NPPES
Wisconsin Other 3843 NATIONAL SURGICAL ASSISTANT ASSOCIATION

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